TopMedTalk

Desiree Chappell, Philip Corvo and Vicki Morton discuss critical care patients and enhanced recovery pathways. How do the insights of ERAS apply to these situations?

Joff Lacey catches up with Mike Scott (Virginia Commonwealth University) and Ross Kerridge (John Hunter Hospital, Newcastle, Australia) in the exhibit hall of ASER 2018 for a quick chat on enhanced recovery implementation.

Michael Scott, Neil Seeley, Kevin Watkins and Desiree Chappell discuss enhanced recovery pathways, specifically regarding liver sections and other complex operations.

Raul Castillo, Jennifer Clark and Kay Smith join Desiree Chappell to discuss their experiences of enhanced recovery. They discuss how just imprementing the ERAS intraoperative protocols drove outstanding outcomes in their practice. They then get into a wider discussion about the importance of putting into practice the bigger plan.

An entertaining and informative discussion about the implementation process, how do you bring everyone to the table? Desiree Chappell speaks with Robin Anderson, Bethany Sarosiek and Vicki Morton, ASER nursing committee members.    

Joff Lacey, Monty Mythen and Patrick Shanahan get stuck into an informative discussion about yesterday's 'heated' and controversial debate regarding the opiode crisis. Joff Lacey reports he heard one clinician say "over 25% of total knee replacements are still on opiodes 6 months after their operation". Patrick Shanahan pleads with the public "don't connect discomfort with a need for a narcotic to...

Desiree Chappell, Dr Vijaya Gottumukkala and Dr George Nassif discuss the changes enhanched recovery has brought into their world, the conversation then moves to narcotics and the opiode epidemic.

The Roundtable Blog on TopMedTalk, live from ASER 2018. Dr Julie Thacker takes some time with Desiree Chappell to discuss ASER's vision for this year.

Monty Mythen, Joff Lacey and Mike Grocott chat with Desiree Chappell about the plan for the TopMedTalk team at ASER 2018. Joff Lacey will be out and about with his roving mic getting on the spot interviews with attendees, gathering late breaking news as it happens. Mike Grocott will be doing Journal Club, a deep dive into some of thre big papers of the last 12 months or so. And finally, Desiree Ch...

Monty Mythen, Joff Lacey and Mike Grocott look ahead to this years conference and look back over the meeting last year in Washington. The team discuss the association between low blood pressure and outcomes and the first interventional trial related to that. They are then joined by Dr Patrick Shanahan who discusses, amongst other things, the issues related to opiode and narcotic use which can be r...

Techno Talk Broadcaster Nick Margerrison presents Techno Talk; joined by Professor Monty Mythen, editor in Chief of TopMedTalk and Pete Paterson, a sports psychology master. On this episode Dr Paul Upton explains My Preop. For more information go to: www.ultramed.co

Desiree Chappell, Monty Mythen, Tim Miller and Stefan Holubar discuss some of the big issues at ASER 2018. The team discuss whether or not we're at the point of mass adoption for enhanced surgical recovery? Where next with post operative opitate prescriptions? And finally what to expect this year from ASER 2018.

Mike Grocott, Joff Lacey, Monty Mythen and Julie Thacker react to the American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on optimal analgesia within an enhanced recovery pathway for colorectal surgery. What is "optimal analgesia" and how rapidly should a patient "return to normal"? The links to the papers are here: Part 1: https://pe...

Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing DiagnosticCriteria, Characteristics, Predictors, and 30-day Outcomes TheVascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION)Writing Group, on behalf of The Vascular events In noncardiac Surgery patIentscOhort evaluatioN (VISION) Investigators. Anesthesiology 03 2014,Vol.12...

Effect of goal-directed haemodynamic therapy on postoperative complications in low–moderate risk surgical patients: a multicentre randomised controlled trial (FEDORA trial) Randomised Controlled Multicentre trial; n=420; GDHT vs Control Conclusions: "Oesophageal Doppler monitor-guided GDHT reduced postoperative complications and hospital length of stay in low–moderate risk patients undergoing inte...

Dr Tim Miller, Anesthesiologist from Duke talks about opiods "we're definately opening our eyes in The States".   Also, Dr Julie Thacker, President of the American Society of Enhanced Recovery features with her thoughts on colorectal surgery.

A quick refresher on some of the hot topics from ASER 2017, including the messy issue of bowel prep and the prickly topic of opiates. A couple of highlights from Professor Monty Mythen and Dr Joff Lacey's live coverage of ASER 2017 for TopMedTalk featuring Dr Julie Thacker, President of American Society of Enhanced Recovery and Desiree Chappell a CRNA in Louisville, Kentucky and board member of EB...

Dr Steve Flanagan - Chair of Physical Medicine and Rehabilitation at NYU Langone. Taken from the Roundtable discussions hosted by Desiree Chappell live from the American College of Perioperative Medicine's Interdisciplinary Conference on Orthopedic Value-Based Care. -- The fuller version of this piece is here:  http://topmedtalk.libsyn.com/physical-medicine-in-rehabilitation-applying-a-team-approa...

Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study McIsaac D et al. Anesthesiology 3 2018, Vol.128, 480-491 A population-based cohort study using linked administrative data in Ontario, Canada. 107,317 hip fracture patients > 65 yr of age from 2002 to 2014. Hip fracture surgery patients at hospitals that use more than 20 to...

Sol Aronson and Monty Mythen speak about the forthcoming EBPOM 2018 annual conference in Atlanta. -- For more details on the upcoming Perioperative Practicum, Atlanta, April 13-15 2018 click here: https://www.ebpom.org/EBPOM-USA2-2018

2 articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA One in non-critically ill patients. Click here: http://www.nejm.org/doi/full/10.1056/NEJMoa1711586?query=featured_home The other in critically ill adult patients: http://www.nejm.org/doi/full/10.1056/NEJMoa1711584?query=featured_home Accompanied by a very balanced Editorial by Professor John Myburgh. Cl...

Monty Mythen talks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, USA about the recently e.published American Society of Enhanced Recovery (ASER)  and Perioperative Quality Initiative (POQI) joint consensus statement on Nutrition and Screening Therapy within an Surgical Enhanced Program. --   Click on this link to access the full paper: https://journals.lww.co...

A short digest of the longer chat from Desiree Chappell's "Round Table Blog", hosted at the American College of Perioperative Medicine's Interdisciplinary Conference on Orthopedic Value-Based Care.  Here Kevin Bozic, Chair of Surgery & Perioperative Care at the Dell Medical School and Professor Monty Mythen, London, UK discuss aspects of perioperative care with insightful additional comments from ...

A stunning moment from last year's conference, captured exclusively on TopMedTalk; Monty Mythen and Mike Grocott are joined by Dr Dan Sessler (Cleveland Clinic) and Dr Tim Miller (Duke University Medical Centre) exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure management. Don't forget: 15th - 17th March 2018 ASER/EBPOM 2018 Annual...

Julian Gore-Booth, Chief Executive Officer at The World Federation of Societies of Anaesthesiologists, in an exclusive interview for TopMedTalk at last year's ASA. Here he reveals why we are at 'a seminal moment in anaesthesiology'. For the fuller interview look for "Live from Boston ASA 2017 - Anaesthesia and Global Health - an expert view" direct link here: http://topmedtalk.libsyn.com/monty-bos...